05D2023921 CLIA NUMBER - ANAS ENTABI, MD WEST PALMDALE HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D2023921
  • Facility Name: ANAS ENTABI, MD WEST PALMDALE HEALTH CARE
  • Facility Address: 540 WEST PALMDALE BLVD, STE B
    PALMDALE, CA
    ZIP 93551
  • Facility Phone: 661 274-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANAS M. ENTABI
  • NPI Number: 1457709321
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2023921
LAB Type Physician Office
Facility Name ANAS ENTABI, MD WEST PALMDALE HEALTH CARE
Street 540 WEST PALMDALE BLVD, STE B
City PALMDALE
State CA
ZIP 93551
Phone 661 274-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director ANAS M. ENTABI

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This page was last updated on: 9/29/2025